CANYON CREEK DEVELOPMENTAL SERVICES
NPI: 1689718520
· CALDWELL, ID 83607
· Local Education Agency (LEA)
· NPI assigned 02/16/2007
$794K
Total Medicaid Paid
Provider Details
| Authorized Official | MOODY, BETH (CFO) |
| NPI Enumeration Date | 02/16/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,803 |
$310K |
| 2019 |
5,599 |
$275K |
| 2020 |
2,917 |
$185K |
| 2021 |
94 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H2032 |
Activity therapy, per 15 minutes |
3,746 |
704 |
$552K |
| 97537 |
|
7,813 |
616 |
$173K |
| S5100 |
Day care services, adult; per 15 minutes |
2,854 |
481 |
$69K |